Allergie et immunologie
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Allergie et immunologie · May 1998
[Postoperative allergic complications: the role of the anesthetist in conducting the immuno-allergic investigation].
When peri-anaesthesia anaphylactic and/or anaphylactoid reactions occur, anaesthetist is the first investigator: the quality of immuno-allergological investigations depends on these initial investigational procedures. We have used sample kits for several years in order to make easier the immediate investigation. ⋯ The use of sample kits allowed an early diagnosis approach, confirmed by skin tests. Diagnosis should be thought closely between anaesthetists and immunologists for investigations.
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Allergy to the gelatin used as a plasma filler product has not been recognised until now. Methods used have not been validated but are composed of specific serum IgE, skin tests and histamine release by leucotrienes. The clinical observation that we report has the merit of showing the reality of an allergy that is dependent on plasma filler products due to development of a protocol which includes firstly, during anaphylactic shock, measurement of the mediators of immediate hypersensitivity and secondly, after the clinical accident, test of the activation of basophils by flow cytometry (TAB) and measurement of leucotrienes.
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Allergie et immunologie · Sep 1997
[Importance and results of photo-patch tests in photobiological research].
Photo patch tests (Standard battery of the SFPD) were made on 45 patients who were suspected of exogenous photosensitization during 1996. Certain suspected topicals or drugs completed the battery. The results obtained are analysed and compared with those in the literature.
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Given that the respiratory and immunity systems are still in development up to the age of 3 years, viral infections and exposure to environmental factors such as passive smoking in babies and young children may alter these systems, so favouring the development of allergic rhinitis and asthma. This may explain the correlation between viral respiratory infections or exposure to environmental factors and later development of wheezing and asthma. Prevention of respiratory infections may thus reduce the risks of pneumonopathy in the long term. For greatest efficacy however, the preventative measures must be in place before the age of 3 years, i.e. before lung development has been completed.
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Allergie et immunologie · Oct 1996
[Importance of plasma (histamine and tryptase) and urinary (methylhistamine) in peri-anesthetic anaphylactic and/or anaphylactoid reactions].
Histamine and tryptase, released during anaphylactoid reactions in anaesthesia, can be measured out by radioimmunoassay, provided that their own pharmacokinetic is respected. For two years, we have used sample kits in order to realize the measuring out of these mediators. The aim of this study was to evaluate the interest of these mediators within investigational procedures for anaphylactoid reactions. ⋯ Within minor clinical reactions (grade I), plasma histamine and urinary methylhistamine were the only mediators detected. In an anaphylactic reaction of grade II, which happened after the administering of vecuronium, tryptase was not detected. Therefore, these mediators give the anaesthetists the possibility to prove quickly the severity of the reactions and to direct the investigations very early towards the right way.